Our Summary
This research paper focuses on a study about rhinoplasty, which is a type of surgery that changes the shape of the nose. Given the rising interest in preservation rhinoplasty (a less invasive type of nose surgery that aims to preserve as much of the natural structure of the nose as possible), the researchers wanted to provide some guidelines to help doctors decide the best procedures for their patients.
The study looked at 352 nose surgeries carried out over three years (2016 to 2019), and analyzed the results one year after each surgery. They found that the best surgical procedure for each patient depended on the shape of the patient’s nose and their specific needs.
The researchers classified noses into four types: straight, tension, kyphotic (curved downwards), and difficult (those that present unique challenges). They also classified rhinoplasty techniques into four categories: full preservation, preservation plus resurfacing (smoothing out the surface), disarticulation (separating the bone and cartilage), and traditional rhinoplasty.
Through their analysis, the researchers found that:
- For straight noses, full preservation was the best technique.
- For tension noses, preservation plus resurfacing or a particular variation of septoplasty (surgery to fix a deviated septum) was most effective.
- For kyphotic noses, preserving only the cartilage was the best approach.
- For difficult noses, traditional rhinoplasty was recommended.
They also found that when septoplasty was combined with rhinoplasty, the revision rate (the need for additional surgery) increased by 2.5 times.
These findings could help doctors make better decisions about the best surgical approach for each patient, thereby increasing the success of the surgery and reducing the need for additional surgeries.
FAQs
- What is preservation rhinoplasty and why is it gaining interest?
- How did the researchers determine which surgical procedure was best for each type of nose?
- What did the study find about the success rate of combining septoplasty with rhinoplasty?
Doctor’s Tip
A helpful tip a doctor might tell a patient about rhinoplasty is to carefully discuss and consider the specific goals and desired outcomes of the surgery. It is important for the patient to have a clear understanding of what is achievable and realistic, as well as any potential risks or complications. Communication between the patient and doctor is key in ensuring a successful rhinoplasty procedure.
Suitable For
Patients who are typically recommended for rhinoplasty include those who have:
Aesthetic concerns: Patients who are unhappy with the size, shape, or symmetry of their nose may benefit from rhinoplasty to improve their appearance.
Breathing difficulties: Patients with nasal obstruction, a deviated septum, or other structural issues that affect their ability to breathe through their nose may benefit from rhinoplasty to improve their nasal function.
Traumatic injuries: Patients who have suffered from a nasal injury or trauma, such as a broken nose, may require rhinoplasty to correct any deformities or structural issues caused by the injury.
Congenital defects: Patients who are born with nasal deformities, such as a cleft lip or palate, may benefit from rhinoplasty to improve the appearance and function of their nose.
Aging changes: As people age, the shape of their nose may change, leading to issues such as nasal tip drooping or a hump on the bridge of the nose. Rhinoplasty can help address these changes and restore a more youthful appearance.
Psychological concerns: Patients who experience psychological distress or low self-esteem due to the appearance of their nose may benefit from rhinoplasty to improve their self-confidence and overall well-being.
It is important for patients considering rhinoplasty to consult with a qualified and experienced plastic surgeon to determine if they are a good candidate for the procedure and to discuss their specific goals and expectations.
Timeline
Before rhinoplasty:
- Consultation with a plastic surgeon to discuss goals and expectations of the surgery.
- Pre-operative evaluation to assess the patient’s overall health and suitability for surgery.
- Discussion of the different rhinoplasty techniques and options available.
- Planning the surgery and setting realistic expectations for the outcome.
After rhinoplasty:
- Recovery period, which typically involves swelling, bruising, and discomfort for a few weeks.
- Follow-up appointments with the surgeon to monitor healing progress and address any concerns.
- Gradual improvement in the appearance of the nose as swelling subsides.
- Long-term results become more apparent after several months to a year post-surgery.
- Potential need for revision surgery if the desired outcome is not achieved or if additional adjustments are desired.
What to Ask Your Doctor
Some questions a patient should ask their doctor about rhinoplasty include:
- What type of rhinoplasty technique do you recommend for my specific nose shape?
- What are the potential risks and complications associated with the recommended procedure?
- How many rhinoplasty surgeries have you performed, and what is your success rate?
- What is the expected recovery time and post-operative care required for this procedure?
- Are there any alternative treatments or procedures that could achieve similar results?
- Can I see before and after photos of patients who have had a similar procedure?
- What are the costs associated with the surgery, including any potential additional costs for revisions or follow-up appointments?
- How long will the results of the rhinoplasty last, and are there any long-term effects to consider?
- What should I expect in terms of scarring or changes in sensation after the surgery?
- Are there any lifestyle changes or restrictions I should be aware of before and after the procedure?
Reference
Authors: Saban Y, de Salvador S. Journal: Facial Plast Surg. 2021 Feb;37(1):53-64. doi: 10.1055/s-0041-1723827. Epub 2021 Feb 25. PMID: 33634452